What post-treatment advice is recommended for Achilles tendonosis?

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The recommended post-treatment advice for Achilles tendonosis emphasizes the importance of eccentric strengthening exercises. This approach targets the specific tendinopathy by focusing on the controlled lengthening of the calf muscles, which helps in promoting tendon healing and improving strength. Implementing an eccentric strengthening protocol, such as performing heel drops on the edge of a step, engages the Achilles tendon in a way that reduces strain while encouraging adaptation and recovery.

This method is based on the understanding that tendons respond positively to gradual loading and strengthening, which is essential for repairing the damaged tissues. Engaging the muscle-tendon unit through such exercises can enhance flexibility, improve muscle strength, and potentially reduce pain and disability associated with Achilles tendonosis.

Other options do not align as effectively with the best practices for rehabilitation of this condition. For instance, complete rest could lead to muscle atrophy and further complications, while light stretching may not provide the same benefits as the targeted eccentric exercises. The use of ice packs might alleviate pain temporarily but does not address the underlying issues that eccentric loading would.

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